Individual
DR. KENNON MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 416-2477
(850) 416-7520
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME88495
FL
208M00000X
Hospitalist Physician
Primary
ME88495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268975800
—
FL
Enumeration date
05/12/2006
Last updated
11/13/2023
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